Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RIVERSIDE PEDIATRICS, LLP

NPI: 1104963966 · COS COB, CT 06807 · Pediatrics Physician · NPI assigned 01/31/2007

$73K
Total Medicaid Paid
1,894
Total Claims
1,591
Beneficiaries
8
Codes Billed
2021-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRASCOFF, HENRY (PHYSICIAN)
NPI Enumeration Date01/31/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 137 $5K
2022 718 $25K
2023 504 $20K
2024 535 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 710 607 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 236 190 $20K
90460 Immunization administration through 18 years of age via any route, first or only component 405 342 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 37 19 $387.07
92552 33 29 $332.26
90686 141 129 $195.85
99173 13 12 $78.28
99000 319 263 $0.00